Modified Gamma nail in the treatment of intertrochanteric fracture.doc

 PAGE \* MERGEFORMAT 9 Modified Gamma nail in the treatment of intertrochanteric fracture [Abstract] Objective To investigate the use of modified Gamma nail fixation for intertrochanteric fractures of the clinical efficacy, surgical points and considerations. Methods January 2005 ~ February 2008 using the modified Gamma nail fixation for the treatment of 12 cases intertrochanteric fractures were retrospectively analyzed. surgery by closed nailing, small incision is reset. Results in 10 patients followed up for 6 to 18 months were excellent in 9 cases, good in 1 case, good rate of 100%. femoral crude Long average healing time of fracture of about 11 months, fracture healing rate of 100%, no serious complications such as coxa vara. Conclusion The modified Gamma nail is the treatment of intertrochanteric fractures is an effective method. [Keywords:] intertrochanteric fracture fixation with intramedullary nail Since January 2005 ~ February 2008 using a modified Gamma nail in the treatment of intertrochanteric fractures in 12 cases, results were satisfactory. The report is as follows. Clinical data I. General Information The group of 12 patients, 8 males and 4 females, aged 42 to 81 years, mean 61.5 years old. Fractures according to AO classification criteria: A1, 3 cases, A2 in 7 cases, A3 2 cases, 3 cases combined with other fractures . Perioperative management and prevention of complications 12 cases in 11 patients with various degree of medical illness, including 10 cases of coronary heart disease with hypertension, diabetes in 7 cases, 4 cases of chronic bronchitis and emphysema, aged 5 cases of cerebrovascular disease, preoperative hemoglobin content of less than 7g / L 4 cases. other parts of the 4 cases of a fracture at the same time, the merger of two or more medical diseases in 9 patients. greatly increased the complexity of fracture treatment. Thus the treatment of old fractures rotor of compliance in the elderly surgi